# Daily Challenge Day 51

So the circular cells are to assist into dividing the earths surface into manageable chunks for investigation and musings. For example the previous calculations indicated that the world has around 7 million cells, 5 km in diameter and with a world population of around 7 billion, that allows for around 1000 people per cell. Allowing 16m x 16m block of land for each person, and accepting that residential sector only accounts for 1/3rd of the total area of a village, gives a village approximately 1 km in diameter. This would leave a ring 2 km wide around the village, or 4 km of open space between adjacent villages.  This would produce a completely different landscape to concentrating the world population in 1000 industrial city-states 100 km in diameter with populations of 10 million each.

On the other hand, Australia has 391,752 cells, and at 1000 people per cell, then would have a population of approximately 392 million, which it is highly unlikely it can support. Just getting water to all of those cells would be a problem. Setting a population limit of say 25 million, then would need only 25,000 of the available cells. In an earlier post, I was looking at the roles of each of the 1000 people. So today I discovered the following article:

How can Australia have too many doctors, but still not meet patient needs?

Which suggests somewhere between 3 and 5 should be doctors, taking into consideration cannot have a fraction of a person. So could divide the circular cells into 3 to 5 segments, with one medical doctor for each segment. Statistics from Australian Institute of Health and Welfare indicate there are 102,805 medical practitioners in Australia. On the basis of the 5 km cells, would need from 75,000 to 125,000 medical practitioners.

Or looking at the Yorke Peninsula council area, there are 297 cells 5 km in diameter, but a population less than 12,000, therefore only need to occupy 12 cells. Therefore would need around 36 to 60, medical practitioners for the council area. Unfortunately the population is not distributed between 12 cells, it is more widely dispersed. From my earlier mapping exercise the population for the peninsula region is distributed between around 124 localities: not sure how many are specifically in the Yorke Peninsula Council District. These localities are typically spaced at 25 km centres, Yorketown and Kadina with populations of around 5000 people each, and Maitland located between the two with a population of 1000 people. The remaining towns having populations less than 1000 people. The length of the region considered is 240 km.

Not sure why decisions are based per head of population, when the critical condition is geographical distribution. My earlier post on geographical information systems (GIS) shows that hospitals around Adelaide are concentrated around the CBD. Which doesn’t make sense, as hospitals need to be located near to people, not centralised to a business district. Ambulances shouldn’t be rushing to the city centre, they should be travelling safely to nearby hospitals properly serving local areas.

People shouldn’t have to travel 200 km to 500 km to access health care services, the services should be mobile. Humans have legs and they are meant to be mobile. Our cities turn us into plants, and make us dependent on machines for mobility. As individuals age, they become dependent on others for mechanised transport. But why move people, when such movement may cause harm to the patient? It is better to move the services to the people. Such has been done in the past, it should be possible to do now.

All we need are appropriate travel circuits which a mobile service can loop around on a regular basis. A possible loop for the Yorke Peninsula region is shown at daily challenge 22, which is over 1000 km long, and depending on scheduling and  time of stay at each town, would take around 6 months to complete. Though at any time the loop can be interrupted and the service vehicle could travel direct to a given town in less than a day. More vehicles circulating from different starting points would improve access to the services. The services can be modularised and containerised, making use of 12m long shipping containers. A prime mover therefore could drop the service module in a town for a few days, and then be used elsewhere to transport another service module.

Such modules can be used to keep hospitals mobile, and semi-permanent. In this way local hospitals can expand and contract as needed, with the service modules being relocated to where they are needed.

I believe we need to promote more mobility, and be more accepting of caravan parks and camping grounds. Some 40% to 60% of a cities population should be mobile. With the population living in:

1. Rented Houses
2. Rented Apartments
3. Residential Hotels/Motels
4. Site Cabins
5. Caravans/motor homes
6. Tents

The core of the city is fixed, whilst the periphery can adapt and change its layout to suit current needs. As far as I am aware there is not considered to be a shortage of cars, but architects and civil engineers and politicians are responsible for shortages of housing, schools and hospitals. The car, shipping and aircraft industries have the potential to eliminate the shortage around the world. They have the potential to do so because products are not constrained by geographical boundaries. A blot on the landscape like the monstrosity of Adelaide hospital are problematic to get built, though unfortunately limited resources get wasted on such icons. Service modules however can be built anywhere in the world and transported to anywhere in the world.

Modular construction has the potential to supply to the worlds building shortages, once they discard the design and construct to order approach, and start designing product to suit wider needs. They don’t need to build to stock, they can still build to order, however they should have designs already to meet the need for houses, schools and hospitals.